<html>
<head>
  <meta http-equiv="Content-Type" content="text/html; charset=utf-8" />
    <meta name="generator" content="HTML Tidy for Windows (vers 14 February 2006), see www.w3.org">
    <title></title>
    <link rel="stylesheet" href="css/style.css" type="text/css">
  </head>
<body>

<div id="wrapper">

    <!-- Header -->
    <%@ include file="/header.jsp" %>
    <!-- /header -->
    <!-- content -->
    <div id="body">
 	<div id="bleft">

            <form:form method="Post" action="registration.html"	commandName="registration">
            <h2>Log In Account</h2>
            <hr></hr>
            <br/>
			<table>
			<tr>
				<td>User Name:</td>
				<td><form:input path="userName" /></td>
				<td><FONT color="red"><form:errors path="userName" /></FONT></td>
			</tr>
			
			<tr>
			<td>Password:</td>
			<td><form:password path="password" /></td>
			<td><FONT color="red"><form:errors path="password" /></FONT></td>
			</tr>
			
			<tr>
				<td>Confirm Password:</td>
				<td><form:password path="confirmPassword" /></td>
				<td><FONT color="red"><form:errors path="confirmPassword" /></FONT></td>
			</tr>
			<tr>
			<td><h3>Personal Information</h3></td>
			</tr>
			
			<tr>
				<td>Last Name:</td>
				<td><form:input path="lastName" /></td>
				<td><FONT color="red"><form:errors path="lastName" /></FONT></td>
			</tr>
			
			<tr>
				<td>First Name:</td>							
				<td><form:input path="firstName" /></td>
				<td><FONT color="red"><form:errors path="firstName" /></FONT></td>
			</tr>
			
			<tr>
				<td>Middle Name:</td>
				<td><form:input path="middleName" /></td>
				<td><FONT color="red"><form:errors path="middleName" /></FONT></td>
			</tr>
			
			<tr>
				<td>Date of Birth: (dd/mm/yyyy)</td>
				<td><form:input path="birthDate" /></td>
				<td><FONT color="red"><form:errors path="birthDate" /></FONT></td>
			</tr>
			
			<tr>
				<td>Gender:</td>
				<td>Male: <form:radiobutton path="gender" value="M"/>  
	      		  Female: <form:radiobutton path="gender" value="F"/> </td>
				<td><FONT color="red"><form:errors path="gender" /></FONT></td>
			</tr>
			
			<tr>
			<td><h3>Contact Information</h3></td>
			</tr>
			
			<tr>
				<td>Email Address:</td>
				<td><form:input path="email" /></td>
				<td><FONT color="red"><form:errors path="email" /></FONT></td>
			</tr>
			
			<tr>
				<td>Mobile Number:</td>
				<td><form:input path="mobileNum" /></td>
				<td><FONT color="red"><form:errors path="mobileNum" /></FONT></td>
			</tr>
			
			<tr>
				<td>Telephone Number:</td>
				<td><form:input path="telNum" /></td>
				<td><FONT color="red"><form:errors path="telNum" /></FONT></td>
			</tr>
			
			<tr>
				<td>Address:</td>
				<td><form:input path="address" /></td>
				<td><FONT color="red"><form:errors path="address" /></FONT></td>
			</tr>
			
			<tr><td><h3>Identification</h3></td></tr>
			
			<tr>
				<td>ID Type:</td>
				<td><form:input path="idType" /></td>
				<td><FONT color="red"><form:errors path="idType" /></FONT></td>
			</tr>
			
			<tr>
				<td>ID Number:</td>
				<td><form:input path="idNum"/></td>
				<td><FONT color="red"><form:errors path="idNum" /></FONT></td>
			</tr>
	
			<tr>			
				<td><br/><input type="submit" value="Submit" /></td>
			</tr>
			</table>
	
			</form:form>
        </div>
        <%@include file="/login.jsp" %>
    <!-- /content -->


	</div> <!-- /main -->
   
</div>
  </body>
</html>


